Individual
TRACEY MCNEELY GHAYOUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3717 TAYLORSVILLE RD, LOUISVILLE, KY 40220-1333
(502) 459-5292
Mailing address
3717 TAYLORSVILLE RD, LOUISVILLE, KY 40220-1333
(502) 459-5292
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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